Improving PTSD treatment for veterans with serious mental illness
Official title: PTSD Treatment for Veterans With Serious Mental Illness to Improve Functional Outcomes
Run by VA Office of Research and Development · NCT05674617 · Data updated 2026-11-12
This study is testing if a new therapy called Written Exposure Therapy can help veterans with PTSD and serious mental illness feel better, especially focusing on the experiences of Black, Indigenous, and other people of color.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 48 (estimated) |
| Sponsor | VA Office of Research and Development Federal |
| Locations | 1 site (Baltimore, Maryland) |
| Status | Recruiting |
| Started | December 1, 2023 |
| Main results expected | March 31, 2027 |
| Study ends | March 31, 2028 |
| Registry record updated | May 6, 2026 |
| Trial ID | NCT05674617 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates for this study are veterans diagnosed with PTSD and serious mental illness who are enrolled in outpatient mental health services.
✕Probably not a fit
Patients currently engaged in trauma-focused evidence-based practices for PTSD or with moderate-to-severe substance use issues may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This study aims to evaluate the feasibility and acceptability of Written Exposure Therapy (WET) for veterans suffering from PTSD and serious mental illness (SMI). It addresses the significant gaps in research regarding effective PTSD treatments for this population, particularly among Black, Indigenous, and other people of color (BIPOC). The study will involve administering culturally responsive assessments and conducting qualitative interviews to gather insights on participants' experiences. A small randomized controlled trial will follow to assess the implementation of WET and its impact on clinical outcomes.
Why it matters
Potential benefit: If successful, this study could lead to improved mental health outcomes for veterans with PTSD and serious mental illness.
How similar studies have gone: While there is limited research specifically on WET for veterans with SMI, other studies have shown promise in using culturally responsive approaches for PTSD treatment.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * enrolled in outpatient mental health services within the VAMHCS (including general outpatient Mental Health Clinic (MHC), Psychosocial Rehabilitation and Recovery Centers (PRRCs), Mental Health Intensive Case Management (MHICM), and PTSD Clinical Teams (PCTs)) * diagnosis of PTSD as confirmed by assessment with the Clinician-administered PTSD Scale for DSM-5 (CAPS-5) past month version * SMI diagnosis as defined by VHA Directive 1160 (i.e., psychotic spectrum or bipolar disorders) as confirmed by the medical record * regular telephone access Exclusion Criteria: * are engaging in moderate-to-severe substance use that would impact their ability to participate and/or would require a higher level of care * already engaged in trauma-focused EBP for PTSD (e.g., WET, CPT, PE, or EMDR) or completed an EBP for PTSD within the past 6 months
Where it's running
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Baltimore VA Medical Center VA Maryland Health Care System, Baltimore, MD
Baltimore, Maryland, United States Recruiting
Study contacts
- Principal investigator: Mary K Howell, PhD — Baltimore VA Medical Center VA Maryland Health Care System, Baltimore, MD
- Study coordinator: Mary K Howell, PhD
- Email: Mary.Howell@va.gov
- Phone: (410) 605-7000
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.